Crystal River Psychiatric, Grp | |
2595 S 17th St Wilmington NC 28401-7748 | |
(910) 799-2283 | |
(910) 791-9227 |
Full Name | Crystal River Psychiatric, Grp |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2595 S 17th St, Wilmington, North Carolina |
Authorized Official Name and Position | Robert Harvey Weinstein (OWNER) |
Authorized Official Contact | 9107992283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crystal River Psychiatric, Grp 2595 S 17th St Wilmington NC 28401-7748 Ph: (910) 799-2283 | Crystal River Psychiatric, Grp 2595 S 17th St Wilmington NC 28401-7748 Ph: (910) 799-2283 |
NPI Number | 1003946047 |
---|---|
Provider Enumeration Date | 03/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003946047 | NPI | - | NPPES |
8986321 | Other | NC | WEINSTEINS MEDICAID |
014J9 | Other | NC | BCBS NC GROUP # |
6107129 | Other | NC | F.RHETT SARAVIA MEDICAID |
86321 | Other | NC | WEINSTEINS BCBS NC |
201516C | Other | NC | WEINSTEINS MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 104694 (North Carolina) | Primary |
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